Advertisement

Physical Therapist Management of Patients With Ventricular Assist Devices: Key Considerations for the Acute Care Physical Therapist

Chris L. Wells
DOI: 10.2522/ptj.20110408 Published 1 February 2013

Figures

Figure 1.
Figure 1.

Thoratec pVAD. This illustration shows the position of the ventricular assist device for right, left, or biventricular support. The cannulas will connect the pumps to the dual drive console or TLC II portable driver. Image courtesy of Thoratec Corporation, Pleasanton, California.
Figure 2.
Figure 2.

Nonpulsatile ventricular assist devices (VADs). (A) HeartMate II (image courtesy of Thoratec Corporation, Pleasanton, California). Besides illustrating the position of the HeartMate II, this picture also identifies the various components of VADs. (B) HeartWare (image courtesy of HeartWare Inc, Framingham, Massachusetts). (C) Jarvik 2000 (image courtesy of Jarvik Heart Inc, New York, New York). LVAD=left VAD, LVAS=left ventricular assist system.
Figure 3.
Figure 3.

Short-term ventricular assist devices. (A) Impella (image courtesy of Abiomed, Danvers, Massachusetts) and (B) Centrimag (image courtesy of Thoratec Corporation, Pleasanton, California). The Centrimag is supporting the right ventricle in the presence of HeartMate II supporting the left ventricle.
Appendix 1.
Appendix 1.

Eligibility Criteria for Ventricular Assist Device Implantationa

a These are the common medical inclusion criteria for ventricular assist device implantation. Modified from Leitz,8 Drakos et al,14 and Miller.20
Appendix 2.
Appendix 2.

General Key Staff Competency Areas

Tables

Table 1.
Table 1.

Resting Physiological Parameters Consistent With Medical Stabilitya

  • ↵a Modified from Slaughter et al,19 O'Shea,24 Christensen,25 and Adams et al.45 Refer to Table 3 for manufacturers of the VADs cited in the table.
Table 2.
Table 2.

Key Factors in Ventricular Assist Device (VAD) Managementa
Table 3.
Table 3.

Guidelines in the Rehabilitation Progression for Ventricular Assist Device (VAD) Recipientsa

  • ↵a Modified from Thompson et al,22 Frownfelter and Massery,46 and Voss et al.47 MET=metabolic equivalent (1 MET=3.5 mL O2·kg-1·min-1), SLR=straight leg raise, PNF=proprioceptive neuromuscular facilitation, UE=upper extremity, LE=lower extremity, UBE=upper body ergometer, ROM=range of motion.

Supplementary Data

eTables

Files in this Data Supplement:

  • eTables (PDF) (33 KB) - This PDF contains the following eTables:
    • eTable 1. Indications for Ventricular Assist Device (VAD) Implantation
    • eTable 2. Recommended Functional Testing for Ventricular Assist Device (VAD) Candidates and VAD Recipients
    • eTable 3. Types of Ventricular Assist Devices (VADs)
    • eTable 4. General Parameters for Ventricular Assist Device (VAD) Management
Back to top
Email
Print
Physical Therapist Management of Patients With Ventricular Assist Devices: Key Considerations for the Acute Care Physical Therapist
Chris L. Wells
Physical Therapy Feb 2013, 93 (2) 266-278; DOI: 10.2522/ptj.20110408

Citation Manager Formats

Download Powerpoint
Save to my folders

Physical Therapist Management of Patients With Ventricular Assist Devices: Key Considerations for the Acute Care Physical Therapist
Chris L. Wells
Physical Therapy Feb 2013, 93 (2) 266-278; DOI: 10.2522/ptj.20110408
del.icio.us logo Digg logo Reddit logo Technorati logo Twitter logo CiteULike logo Connotea logo Facebook logo Google logo Mendeley logo

Related Articles

Cited By...

Subjects